巨大多房性前列腺囊腺瘤1例报告并文献复习  

Giant multilocular prostatic cystadenoma:a case report and literature review

作　　者：唐世英[1] 田雨[1] 洪鹏 陆敏[2] 肖春雷[1] 卢剑[1] 马潞林[1] TANG Shiying;TIAN Yu;HONG Peng;LU Min;XIAO Chunlei;LU Jian;MA Lulin(Department of Urology,Peking University Third Hospital,Beijing 100191,China;Department of Pathology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院泌尿外科,北京100191 [2]北京大学第三医院病理科,北京100191

出　　处：《现代泌尿外科杂志》2023年第3期232-237,共6页Journal of Modern Urology

摘　　要：目的探讨巨大多房性前列腺囊腺瘤的临床特征和治疗策略。方法回顾性分析2021年7月北京大学第三医院泌尿外科收治的1例巨大多房性前列腺囊腺瘤患者的临床资料,年龄73岁,以尿急、尿频为临床表现,前列腺特异性抗原轻度升高,磁共振成像(MRI)提示巨大前列腺囊实性占位。检索2000—2021年国内外前列腺囊腺瘤病例报道进行文献复习。结果该患者行经腹腹腔镜前列腺根治性切除术,手术顺利。术后病理诊断为多房性前列腺囊腺瘤,术后2周拔除尿管后排尿通畅,无尿频、尿失禁等不适。术后随访8个月余,未见肿瘤复发及转移。结论巨大多房性前列腺囊腺瘤肿瘤学特性及诊疗方案还存在一定争议,缺乏长期随访结果。腹腔镜前列腺盆腔巨大占位切除术安全可行,大部分患者经过手术治疗后预后良好。临床需要结合不同患者情况制定手术为主的个体化标准治疗方案,积极改善患者预后。Objective To investigate the clinical characteristics and treatment strategy of giant multilocular prostatic cystadenoma(GMPC).Methods The clinical data of a GMPC patient treated in our hospital in July 2021 were retrospectively analyzed.The patient was 73 years old.The clinical manifestations were urgent urination and frequent urination.The prostate specific antigen(PSA)increased slightly.MRI showed giant cystic solid space occupying lesion of the prostate.Domestic and foreign cases of prostate cystadenoma from 2000 to 2021 were retrieved for literature review.Results Transabdominal laparoscopic radical prostatectomy was performed successfully.The postoperative pathological diagnosis was GMPC.Two weeks after operation,the urinary catheter was removed,and there was no discomfort such as urinary frequency or urinary incontinence.After follow-up for more than 8 months,there was no tumor recurrence or metastasis.Conclusion There are still some disputes about the oncological characteristics and diagnosis and treatment of GMPC,and there is a lack of long-term follow-up results.Laparoscopic prostatectomy is safe and feasible.Most patients have a good prognosis after surgical treatment.It is necessary to formulate an individualized standard treatment plan based on surgery combined with different patients conditions to actively improve the prognosis.

关 键 词：多房性前列腺囊腺瘤 巨大瘤 下尿路症状 临床特征 治疗 

分 类 号：R737[医药卫生—肿瘤]